- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34,491.40 / $71,522.89 / $93,383.20
| Facility | | $34,491.40 | $71,522.89 | $93,383.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $65,315.06 / $174,900.95
| Facility | | $5,840.42 | $65,315.06 | $174,900.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40,412.81 / $66,823.46 / $100,971.05
| Facility | | $40,412.81 | $66,823.46 | $100,971.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94,896.19 / $94,896.19 / $94,896.19
| Facility | | $94,896.19 | $94,896.19 | $94,896.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,226.96 / $67,318.62 / $103,955.76
| Facility | | $58,226.96 | $67,318.62 | $103,955.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $65,315.06 / $174,900.95
| Facility | | $5,840.42 | $65,315.06 | $174,900.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,840.42 / $65,315.06 / $136,686.64
| Facility | | $5,840.42 | $65,315.06 | $136,686.64 |